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Full-Text Articles in Medicine and Health Sciences

Using Picture-Story Books To Help Families Understand Turbulent Parental Emotions In Families With Small Children, Anne Sved Williams, Marie Jonsson-Harrison Dec 2018

Using Picture-Story Books To Help Families Understand Turbulent Parental Emotions In Families With Small Children, Anne Sved Williams, Marie Jonsson-Harrison

Journal of Parent and Family Mental Health

A parent’s struggle to manage their emotions may have significant impact on small children. Helping a child understand in the here and now about what is going on for the parent, without blaming that parent or the child, may be useful for the child. It may also lead the child to seek different models of managing emotions and self-concepts. Reading books with children, or bibliotherapy, could be useful for parents who experience stress-related “meltdowns” or perhaps live with mental health conditions such as borderline personality disorder, and for those working with small children in educational, child care or child ...


Animal-Assisted Interventions For Children With Autism Spectrum Disorders: A Survey Of French Facilities, Claire Philippe-Peyroutet, Marine Grandgeorge Nov 2018

Animal-Assisted Interventions For Children With Autism Spectrum Disorders: A Survey Of French Facilities, Claire Philippe-Peyroutet, Marine Grandgeorge

People and Animals: The International Journal of Research and Practice

Our survey of animal-assisted interventions (AAI) offered by French intervention facilities aimed to examine and describe the range of AAI for autism spectrum disorder (ASD) children. We invited 2,302 facilities to reply to an online questionnaire. The responses to our survey (n = 386) revealed that animals were used extensively as a complementary intervention. Most AAI sessions were in groups. Various animal species (especially horses and dogs) and facility staff members as well as external collaborators were involved. Numerous benefits (e.g., enhanced well-being, self-esteem, and socialization) were reported. Facilities face difficulties in connection with AAI including finances, staffing, and ...


Nicotine Vaccines For Smoking Prevention And Treatment From Utilitarian And Deontological Ethical Perspectives, Enam A. Alsrayheen, Khaldoun Aldiabat Nov 2018

Nicotine Vaccines For Smoking Prevention And Treatment From Utilitarian And Deontological Ethical Perspectives, Enam A. Alsrayheen, Khaldoun Aldiabat

Online Journal of Health Ethics

Nicotine vaccines are a new prevention and treatment method for smoking addiction. They are promoted as a method to cease smoking among those who smoke and possibly prevent this behaviour from taking place among those who do not smoke. However, offering these vaccines to adults, adolescents, and children will undoubtedly raise an ethical debate among policy-makers, health professionals, and the public. This paper discusses the possibility of using nicotine vaccines treat and prevent smoking among adults/children/adolescents through the lenses of two ethical theories: utilitarianism and deontology (Kantianism). From an utilitarian perspective, nicotine vaccines are good for society because ...


Technology-Based Dietary Assessment In Youth With And Without Developmental Disabilities, Michele Polfuss, Andrea Moosreiner, Carol J. Boushey, Edward J. Delp, Fengqing Zhu Oct 2018

Technology-Based Dietary Assessment In Youth With And Without Developmental Disabilities, Michele Polfuss, Andrea Moosreiner, Carol J. Boushey, Edward J. Delp, Fengqing Zhu

Nursing Faculty Articles

Obesity prevalence is higher in children with developmental disabilities as compared to their typically developing peers. Research on dietary intake assessment methods in this vulnerable population is lacking. The objectives of this study were to assess the feasibility, acceptability, and compare the nutrient intakes of two technology-based dietary assessment methods in children with-and-without developmental disabilities. This cross-sectional feasibility study was an added aim to a larger pilot study. Children (n = 12; 8–18 years) diagnosed with spina bifida, Down syndrome, or without disability were recruited from the larger study sample, stratified by diagnosis. Participants were asked to complete six days ...


Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji Oct 2018

Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji

Endocrinology/Diabetes

IMPORTANCE: The role of tobacco-smoke exposure on serum vitamin D concentration in US pediatric population is not known. We hypothesized that tobacco smoke exposure would increase the prevalence of vitamin D deficiency in US children.

METHODS: Representative national data were accessed from the National Health and Nutrition Examination Survey (NHANES) 2009-2010 databank on 2,263 subjects of ages 3 to 17 years. Subjects were categorized into two groups based on their age: children, if <10 >years; and youth if 10 to 17 years. Descriptive and multiple logistic regression analyses were conducted to determine the effect of serum cotinine-verified tobacco smoke exposure ...


Metaanalysis Of The Relationship Between Violent Video Game Play And Physical Aggression Over Time, Anna T. Prescott, James Sargent, Jay G. Hull Oct 2018

Metaanalysis Of The Relationship Between Violent Video Game Play And Physical Aggression Over Time, Anna T. Prescott, James Sargent, Jay G. Hull

Open Dartmouth: Faculty Open Access Articles

To clarify and quantify the influence of video game violence (VGV) on aggressive behavior, we conducted a metaanalysis of all prospective studies to date that assessed the relation between exposure to VGV and subsequent overt physical aggression. The search strategy identified 24 studies with over 17,000 participants and time lags ranging from 3 months to 4 years. The samples comprised various nationalities and ethnicities with mean ages from 9 to 19 years. For each study we obtained the standardized regression coefficient for the prospective effect of VGV on subsequent aggression, controlling for baseline aggression. VGV was related to aggression ...


Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks Oct 2018

Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks

Operational Excellence

IMPROVING COMMUNICATION BETWEEN CHILD LIFE SERVICES AND NURSING ON AN INPATIENT HOSPITAL UNIT

Effective communication between patient caregivers has been shown to reduce stress and trauma related to hospitalization and subsequent improved outcomes. An HCAHP score for a 30 bed acute inpatient pediatric unit illustrated the confusion faced by children as a result of nursing and care life specialists not working together as a team.

A root cause analysis identified a number of issues as to why patients were not benefitting fully from child life services. Several counter measures were instituted with the goals of improving the HCAHP score and ...


Champ: Choosing Healthy Active Moving Play, Melanie Goldstein, Mica Lai, Omri Faroul, Valerie Leonard, Caroline Mccarthy, Suki Ghumman Sep 2018

Champ: Choosing Healthy Active Moving Play, Melanie Goldstein, Mica Lai, Omri Faroul, Valerie Leonard, Caroline Mccarthy, Suki Ghumman

Nexus Maximus

CHAMP is an afterschool program to get kids to become more active and healthy. The money raised will be used to fix the playground and make the area safer for children to play.

Nexus Maximus V

The 2018 Challenge: "Improving Lives Through Healthy Communities" Teams will evaluate and seek innovation that supports the health and well-being of specific local community populations. The team’s project work will be supplemented with workshops on innovation, entrepreneurship, and content relevant to the theme, delivered by experts throughout the weekend.

Teams will also explore opportunities to leverage that data in meaningful ways that benefit ...


Kinship Diversion In The District Of Columbia: A Review Of Local Practice To Inform National Policy, Marla P. Spindel, Beth A. Stekler, Stephanie Ridgway Mcclellan Sep 2018

Kinship Diversion In The District Of Columbia: A Review Of Local Practice To Inform National Policy, Marla P. Spindel, Beth A. Stekler, Stephanie Ridgway Mcclellan

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This article addresses a practice commonly known in the child welfare community as “kinship diversion,” where a child welfare agency informally places children with relatives as an alternative to foster care. While evidence predominantly shows that abused and neglected children have better outcomes when they are placed with relatives when they cannot remain safely at home, serious concerns about these children’s safety and well-being arise when the placement with relatives is informal. Indeed, it is often not understood that these same relatives can be approved as foster parents and can receive essential financial assistance and supportive services to help ...


Early Administration Of Ketamine In Refractory Status Epilepticus, Kayla Moody Aug 2018

Early Administration Of Ketamine In Refractory Status Epilepticus, Kayla Moody

School of Physician Assistant Studies

Purpose: While protocols regarding how to treat status epilepticus (SE) has been universally accepted, management of refractory status epilepticus (RSE) is far from being evidence-based. Ketamine (KET), a NMDA-antagonist, may have a role in RSE when other conventional anesthetics fail due to its unique pharmacodynamic properties and good safety profile.

Methods: Exhaustive search of available medical literature was performed using MEDLINE-Ovid, MEDLINE-PubMed, Psych INFO, Web of Science, and CINAHL for relevant articles from 2012-2017 using keywords “ketamine” and “status epilepticus.” Additional criteria for consideration: articles applicable to the topic and published in the English language. Exclusion criteria includes all opinion ...


Differential Diagnosis Of Auditory Processing Disorder In Children: A Literature Review, Jessica Glennon, Benjamin Kirby Aug 2018

Differential Diagnosis Of Auditory Processing Disorder In Children: A Literature Review, Jessica Glennon, Benjamin Kirby

AuD Capstone Projects - Communication Sciences and Disorders

Although there is no consensus on the definition of auditory processing disorder (APD), it is typically characterized by listening difficulties resulting from deficits in auditory perceptual processing of sounds in the central auditory nervous system. APD often co-occurs with other disabilities such as ADHD, dyslexia, and specific language impairment. Presenting symptoms can be very similar to these other disorder, complicating diagnosis. Due to the overlap of symptoms between APD and various other deficits, there are concerns that professionals in different fields are providing children with different labels for the same group of symptoms. Therefore, the aim of this literature review ...


What Constitutes The Patient Experience Of Children? Findings From The Photo Elicitation And The Video Diary Study, Nina Karisalmi, Hanna Stenhammar, Johanna Kaipio Jul 2018

What Constitutes The Patient Experience Of Children? Findings From The Photo Elicitation And The Video Diary Study, Nina Karisalmi, Hanna Stenhammar, Johanna Kaipio

Patient Experience Journal

Patient experience (PX) is getting attention among researchers and healthcare service providers, but little is known about the experiences of child patients and how to explore those. This paper reports findings from a study in which two participatory research methods, photo elicitation and video diary, were applied to investigate the elements of children’s PX in the context of children’s hospital. The aim was to find out what elements constitute the PX of children aged 7–16 years. The research data were gathered in 2016–2017. Twenty-two child patients participated in the study: eight children aged between 7 and ...


Partners For Excellence: Committed To Meaningful Partnerships With Patients And Families In Pediatrics, Rachel Biblow, Msw, Sara Toomey Md, Mphil, Mph, Msc Jul 2018

Partners For Excellence: Committed To Meaningful Partnerships With Patients And Families In Pediatrics, Rachel Biblow, Msw, Sara Toomey Md, Mphil, Mph, Msc

Patient Experience Journal

Although the landscape in pediatrics continues to shift and change, one of the keys to our continued success remains the same… it’s about partnership. It’s clear the element of partnership is well woven through our organizations as illustrated by many of us having patient and family advisory councils, family consultants, and family partners. While this foundation is strong and essential, we must do more to truly listen, recognize the value of patient and family involvement, act upon the information shared, openly discuss issues, and strive for better together. True partnership with patients and families requires us to shift ...


Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher Jul 2018

Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher

Dissertations

Problem. Pediatric mental health complaints and subsequent hospitalizations have been steadily increasing. The Behavioral Health Network (BHN) developed an intensive outreach case management program aimed at reducing youth mental health emergency department (ED) visits and inpatient psychiatric admissions. The Youth Emergency Room Enhancement (YERE) program was a process improvement initiative to provide immediate case management to youth and caregivers for mental health care.

Methods. A Plan-Do-Study-Act (PDSA) method utilizing a retrospective case record review occurred over a six-month period. A convenience sample of youth aged 6-20 years presenting to one of eight healthcare facilities for either ED or inpatient hospitalization ...


Implementation Of National Pediatric Guidelines To Prevent Chemotherapy Induced Nausea And Vomiting In Children With Cancer, Taryn Sandheinrich Jul 2018

Implementation Of National Pediatric Guidelines To Prevent Chemotherapy Induced Nausea And Vomiting In Children With Cancer, Taryn Sandheinrich

Dissertations

Purpose: The purpose of this study was to assess the use of supplemental, as needed (prn) pharmacologic interventions for uncontrolled acute chemotherapy induced nausea and vomiting (CINV) in children with cancer after implementation of new pediatric CINV prophylaxis guidelines. Description of Project: A retrospective chart review was completed on forty-three children admitted to the hospital for chemotherapy during a 3 month period in 2017 to document the use of medications given for acute breakthrough CINV. The pre-implementation group received anti-emetics based on the institutional standard of care. A second retrospective chart review was completed on thirty-three children admitted to the ...


Data From: Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji Jun 2018

Data From: Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji

Pediatric Research Data

Manuscript abstract:

IMPORTANCE:

The role of tobacco-smoke exposure on serum vitamin D concentration in US pediatric population is not known. We hypothesized that tobacco smoke exposure would increase the prevalence of vitamin D deficiency in US children.

METHODS:

Representative national data were accessed from the National Health and Nutrition Examination Survey (NHANES) 2009-2010 databank on 2,263 subjects of ages 3 to 17 years. Subjects were categorized into two groups based on their age: children, if <10 >years; and youth if 10 to 17 years. Descriptive and multiple logistic regression analyses were conducted to determine the effect of serum cotinine-verified tobacco ...


The Effect Video Games Have In Therapy To Treat Ailments In Children And Adolescents, Spencer Hart, Danielle Larocco, Josh Spear Jun 2018

The Effect Video Games Have In Therapy To Treat Ailments In Children And Adolescents, Spencer Hart, Danielle Larocco, Josh Spear

Academic Excellence Showcase Proceedings

No abstract provided.


Cognitive Orientation To (Daily) Occupational Performance (Co-Op) Approach And Children With Disabilities, E. Amidon, K. Matteo, K. O'Toole, C. Pistilli, A. Slomowitz, Marie-Christine Potvin Jun 2018

Cognitive Orientation To (Daily) Occupational Performance (Co-Op) Approach And Children With Disabilities, E. Amidon, K. Matteo, K. O'Toole, C. Pistilli, A. Slomowitz, Marie-Christine Potvin

Student Papers

There is a growing body of research evidence for the CO-OP approach since first published in 2001. Individual studies such as single case designs have found positive outcomes using this approach, however, no prior systematic reviews exist. Therefore, this review aims to compile and evaluate the efficacy of the CO-OP approach in children with disabilities.


Focus On Fitness: Incorporating Exercise Into The Treatment Of Children And Adolescents With Attention-Deficit Hyperactivity Disorder, Kristin Lulich May 2018

Focus On Fitness: Incorporating Exercise Into The Treatment Of Children And Adolescents With Attention-Deficit Hyperactivity Disorder, Kristin Lulich

Doctor of Nursing Practice Final Manuscripts

Background: Psychotropic medications, particularly stimulants are frequently used as the first-line treatment for Attention Deficit Hyperactivity Disorder (ADHD). Many patients and their caregivers have concerns about psychotropic options for treatment. Review of current literature demonstrates the efficacy of physical activity in reducing symptoms of ADHD. Purpose: This evidence based practice (EBP) project introduced regular, scheduled aerobic activity into the treatment plan of children and adolescents with ADHD. The aim of this EBP was to reduce symptoms of ADHD measured by caregivers using the Vanderbilt Ratings Scale. The Johns Hopkins Nursing Evidence Based Practice Model was used to implement this project ...


A Dance Movement Therapy Warm Up Method In Bereavement Peer Support Groups For Children, Amanda Moffitt May 2018

A Dance Movement Therapy Warm Up Method In Bereavement Peer Support Groups For Children, Amanda Moffitt

Expressive Therapies Capstone Theses

Every year in the United States, millions of children experience the death of a parent (Owens 2008; Stikkelbroek, Prinzie, de Graaf, ten Have, and Cuijpers 2012). Parental death in childhood can lead to severe impairments in physical and mental health, as well as overall life satisfaction, because of the potential traumatic nature of the event (Li, Vestergaard, Cnattingius, Gissler, Bech, Obel, & Olsen, 2014; Marks, Jun, & Song, 2007; Perkins & Harris 1990). Children have previously been neglected in regards to grief theory and the traumatic experience such loss impacts children. Recently, research has demonstrated that self-regulation is instrumental in the specific trauma work required for this population. Dance/movement therapy supports the development of self-regulation, especially with children, due to its non-verbal, body-based nature (Betty 2013; Philpott 2013; Seoane 2016). This study explored the impact of a movement based group warm-up utilizing self-applied touch and rhythm techniques in a bereavement peer support group with children ages 5-7. The study was limited in ...


Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes May 2018

Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes

Expressive Therapies Capstone Theses

Play is a major topic of conversation when discussing childhood development is associated with creativity and imagination. Although there has been some research involving the creative process amongst children, little has been explored in regards to expressive arts as a technique to further current studies on play. This paper presents a combined method of intermodal expressive arts therapies and play therapy techniques to aid in the fostering of creativity within children with disabilities by utilized the theoretical framework provided by the Expressive Therapies Continuum (ETC). A current review of literature on the ETC, cognitive functions, and expressive arts modalities is ...


Children With Type 1 Diabetes Who Experienced A Honeymoon Phase Had Significantly Lower Ldl Cholesterol 5 Years After Diagnosis, Benjamin U. Nwosu, Bo Zhang, Sanaa S. Ayyoub, Stephanie Choi, Tony R. Villalobos-Ortiz, Laura C. Alonso, Bruce A. Barton May 2018

Children With Type 1 Diabetes Who Experienced A Honeymoon Phase Had Significantly Lower Ldl Cholesterol 5 Years After Diagnosis, Benjamin U. Nwosu, Bo Zhang, Sanaa S. Ayyoub, Stephanie Choi, Tony R. Villalobos-Ortiz, Laura C. Alonso, Bruce A. Barton

Pediatric Publications and Presentations

IMPORTANCE: Landmark studies showed that partial clinical remission in new-onset type 1 diabetes is associated with reduced prevalence of long-term complications, but early clinical indicators of this favorable outcome are poorly characterized.

AIM: To determine if there were any differences in lipid parameters, especially LDL-cholesterol, between remitters and non-remitters 4 to 5 years after the diagnosis of type 1 diabetes after controlling for hemoglobin A1c, body mass index, and pubertal status.

SUBJECTS AND METHODS: A longitudinal retrospective cohort study of 123 subjects of mean age 11.9 +/- 2.9 years, [male 11.7 +/- 2.9 years, (n = 55); female 12 ...


Application Of The Imb Model To The Reported Intake Of Fruits And Vegetables Of Native American Children, Rachel C. Sinley, Julie A. Albrecht May 2018

Application Of The Imb Model To The Reported Intake Of Fruits And Vegetables Of Native American Children, Rachel C. Sinley, Julie A. Albrecht

Journal of Health Disparities Research and Practice

The purpose of this study was to evaluate the applicability of the Information-Motivation-Behavioral Skills (IMB) model to identify variables that are associated with fruit and vegetable intake among Native American children. A cross-sectional study design was employed with a convenience sample of 92 English-speaking caregivers of Native American children between the ages of 2 and 5 from several tribes representing the Midwest, including Omaha, Santee Sioux, Ponca and Winnebago. Caregivers completed an IMB model survey, fruit and vegetable food frequency questionnaire and demographic survey. Multivariate linear regression and path analysis were conducted to assess association between model constructs and fruit ...


Understanding Vegetable Feeding Practices Among Families With Young Children Using Farmers’ Market Coupon Programs: Does Participation Increase Children’S Vegetable Consumption?, Heather Brubaker May 2018

Understanding Vegetable Feeding Practices Among Families With Young Children Using Farmers’ Market Coupon Programs: Does Participation Increase Children’S Vegetable Consumption?, Heather Brubaker

Theses - ALL

Background: Children consistently consume low levels of vegetables. Research shows that adults participating in incentivized vegetable programs purchase and consume more vegetables. It is not clear if children in those households eat more vegetables.

Objective: To understand vegetable feeding practices of families with young children using farmers’ market coupon programs: current experiences, program impacts, and additional supports.

Study Design, Settings, Participants: A mixed-methods design was used, which included a demographic survey, children’s vegetable screener, and semi-structured interview. Participants were parents/caregivers (n=23) of children ages 2 to 5 years, using coupons (WIC Farmer’s Market Nutrition Program, Health ...


A New Perspective On The Outcomes Of Children With Cleft Lip And Palate: Application Of The Icf-Cy, Brenda Louw May 2018

A New Perspective On The Outcomes Of Children With Cleft Lip And Palate: Application Of The Icf-Cy, Brenda Louw

ETSU Faculty Works

Learner Outcomes:

  • Acknowledge the application value of the ICF to individuals with CLP.
  • Integrate the ICF framework into the assessment of individuals with CLP.
  • Formulate intervention goals that go beyond speech production skills to include functional communication outcomes in a variety of life situations.
  • Include improvement and changes in communication participation in everyday functioning in assessment and progress reports.


Violence And Aggression In School Settings, Barbara Katic May 2018

Violence And Aggression In School Settings, Barbara Katic

Wisdom in Education

Violence and aggression continue to cause harm to American schools and communities, which has been visibly illustrated by the continual perpetration of school shootings. In order to prevent these situations for occurring again, the etiology of violent and aggressive behaviors must be studied. Utilizing an ecological perspective, both the risk factors and protective factors of violence and aggression, also known as a dual strategy approach, are examined within an educational context. Specific risk factors reviewed include weapons exposure and social rejection, while protective factors reviewed include school connectedness and pro-social relationships. Implications regarding the prevention of violent and aggressive acts ...


Family Dynamics And Auditory Verbal Therapy, Casey Baldwin May 2018

Family Dynamics And Auditory Verbal Therapy, Casey Baldwin

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Auditory Verbal Therapy (AVT) is an intervention approach that is structured around caregiver involvement. While this model emphasizes the need for interventions to occur throughout the week within activities of daily living, many families have different dynamics and are drifting away from the “standard” two-parent structure. This study aims to explore the different family structures and dynamics of children who are receiving AVT services. Findings demonstrated that AVT does not seem to interfere with participation in extracurricular activities, it may be beneficial for families to have different people in the family taking the child to therapy and facilitating therapy at ...


Speech Perception In Mandarin- And Cantonese-Speaking Children With Cochlear Implants: A Systematic Review, Sum Yee Fong May 2018

Speech Perception In Mandarin- And Cantonese-Speaking Children With Cochlear Implants: A Systematic Review, Sum Yee Fong

All Dissertations, Theses, and Capstone Projects

Background: Current cochlear implants are limited in their ability to convey pitch and tone information. Poor representation of pitch and tone information in cochlear implants hinders lexical tone perception for cochlear-implant users who speak tonal languages such as Mandarin and Cantonese. As the demand for cochlear implants in China is increasing, it is necessary to understand the speech perception abilities of Mandarin and Cantonese-speaking cochlear-implant users and the factors that contribute to improved speech perception for these users.

Objective: The purpose of this investigation is to perform a systematic review on the speech perception abilities in children with cochlear implants ...


Pornography As A Public Health Issue: Promoting Violence And Exploitation Of Children, Youth, And Adults, Elisabeth Taylor May 2018

Pornography As A Public Health Issue: Promoting Violence And Exploitation Of Children, Youth, And Adults, Elisabeth Taylor

Dignity: A Journal on Sexual Exploitation and Violence

The pornography industry is expanding exponentially as a result of ongoing technological advances. The ability to stream videos over the internet and the ubiquity of the smart phone have meant that pornography producers are able to use algorithms to target potential consumers, to cultivate new sexual tastes and to deliver content to a more diverse audience over mobile devices. The advent of virtual reality pornography with interactive sex toys and sex robots imbued with artificial intelligence promises to unleash a further step-change in the extent to which pornography influences ‘real-world’ sexual culture. The critical analysis of pornography undertaken over decades ...


Vestibular Rehabilitation For Children With Sensorineural Hearing Loss, Daniel Tarango Apr 2018

Vestibular Rehabilitation For Children With Sensorineural Hearing Loss, Daniel Tarango

Doctor of Physical Therapy Capstones

The purpose of this critical literature analysis is to examine the current evidence for identification and treatment of pediatric patients between 3-12 years old with unilateral or bilateral vestibular hypofunction (UVH or BVH respectively). Identifying specific and sensitive clinical measures in static balance, dynamic balance, and gaze stability. Followed by examination of preliminary therapeutic interventions addressing common deficits in this pediatric population. Children with SNHL demonstrate increased rates of vestibular hypofunction. These deficits warrant the use of valid clinical measures to assess static balance, dynamic balance, and gaze stability. The validated static balance assessment sensitive to vestibular hypofunction is the ...